KWR Kees Roest by KWR Kees Roest
03 April 2019

Sewage reveals levels of antimicrobial resistance worldwide

Sewage can reveal the occurrence of antimicrobial resistant bacteriain in the, mainly healthy, population. Antimicrobial resistance is mainly related to the sanitary conditions in the country and the population’s general state of health and less to the use of antimicrobials. The Netherlands, New Zealand and Sweden have the lowest levels of antimicrobial resistance, whereas Tanzania, Vietnam and Nigeria have the highest levels....

Global monitoring of antimicrobial resistance based on metagenomics analyses of urban sewage

Ethics It was confirmed that this and similar studies using human sewage in accordance with the Danish Act on scientific ethical treatment of health research (Journal no.: H-14013582) do not require preapproval from ethical committees. Collection of urban sewage samples The National Food Institute, Technical University of Denmark (DTU Food) launched an open invitation 25 September 2015 seeking potential collaborators to participate in the pilot study of the Global Sewage Surveillance Project (GSSP). The invitation was sent by electronic mail to the following networks and individual research collaborators for further dissemination: WHO Global Foodborne Infections Network (GFN) [], WHO Advisory Group on Integrated Surveillance of Antimicrobial Resistance (AGISAR) [], European Union Reference Laboratory for AMR network [], and to the European Food- and Waterborne Diseases and Zoonoses Network (FWD-Net) []. Participation was cost neutral and managed by online registration that also included requests for proper packaging and sample containers and the need to sign a material transfer agreement or similar approval/agreement to protect any intellectual property rights. All expenses related to the shipments were paid by DTU Food, and the shipments complied with the IATA regulation as per SP A197 because the content of the parcels was identified as UN3082 “Environmentally hazardous substance, liquid,...

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